ApoE and Clusterin Cooperatively Suppress Aβ Levels and Deposition
Open accessAbstract
Apolipoprotein E (apoE) and clusterin can influence structure, toxicity, and accumulation of the amyloid-beta (Abeta) peptide in brain. Both molecules may also be involved in Abeta metabolism prior to its deposition. To assess this possibility, we compared PDAPP transgenic mice that develop age-dependent Abeta accumulation in the absence of apoE or clusterin as well as in the absence of both proteins. apoE(-/-) and clusterin(-/-) mice accumulated similar Abeta levels but much less fibrillar Abeta. In contrast, apoE(-/-)/clusterin(-/-) mice had both earlier onset and markedly increased Abeta and amyloid deposition. Both apoE(-/-) and apoE(-/-)/clusterin(-/-) mice had elevated CSF and brain interstitial fluid Abeta, as well as significant differences in the elimination half-life of interstitial fluid Abeta measured by in vivo microdialysis. These findings demonstrate additive effects of apoE and clusterin on influencing Abeta deposition and that apoE plays an important role in regulating extracellular CNS Abeta metabolism independent of Abeta synthesis.
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Changes in apoE and Aβ metabolism in the brain ISF early in life can markedly alter Aβ deposition later in life.
“Because changes in apoE and Aβ metabolism in the brain ISF early in life can markedly alter Aβ deposition later in life (31, 32)”
From Human ApoE isoforms differentially regulate brain amyloid-β peptide clearance (2011) · cites this paper as [32]
Mice lacking apoE have accelerated Aβ clearance from the brain relative to apoE-expressing mice.
“This idea is supported by the fact that mice lacking apoE have accelerated Aβ clearance from the brain relative to apoE-expressing mice (DeMattos et al., 2004).”
From Haploinsufficiency of Human APOE Reduces Amyloid Deposition in a Mouse Model of Amyloid-β Amyloidosis (2011) · cites this paper as DeMattos et al., 2004
ApoE regulates both extracellular and intracellular Aβ clearance in the brain.
“Furthermore, recent studies strongly suggest that apoE regulates both extracellular and intracellular Aβ clearance in the brain (Bell et al., 2007; Deane et al., 2008; DeMattos et al., 2004; Jiang et al., 2008).”
From Overexpression of Low-Density Lipoprotein Receptor in the Brain Markedly Inhibits Amyloid Deposition and Increases Extracellular Aβ Clearance (2009) · cites this paper as DeMattos et al., 2004
ApoE regulates Aβ clearance in the brain.
“Furthermore, apoE has been shown to regulate Aβ clearance in the brain (Bell et al., 2007; Deane et al., 2008; DeMattos et al., 2004; Jiang et al., 2008).”
From Overexpression of Low-Density Lipoprotein Receptor in the Brain Markedly Inhibits Amyloid Deposition and Increases Extracellular Aβ Clearance (2009) · cites this paper as DeMattos et al., 2004
ApoE decreases the elimination rate of soluble Aβ from the ISF.
“Given that LDLR overexpression did not appear to alter APP processing (Figure S3B), and based on our previous finding that apoE decreased the elimination rate of soluble Aβ from the ISF (DeMattos et al., 2004), we hypothesized that the lower steady state concentration of eAβ in APP/PS1/LDLR mice is likely the result of increased elimination from the brain ISF (Deane et al., 2008; DeMattos et al.,”
From Overexpression of Low-Density Lipoprotein Receptor in the Brain Markedly Inhibits Amyloid Deposition and Increases Extracellular Aβ Clearance (2009) · cites this paper as DeMattos et al., 2004
It is likely that the reduction of apoE protein levels by LDLR overexpression enhanced Aβ clearance.
“Though it is likely that the reduction of apoE protein levels by LDLR overexpression enhanced Aβ clearance (DeMattos et al., 2004)”
From Overexpression of Low-Density Lipoprotein Receptor in the Brain Markedly Inhibits Amyloid Deposition and Increases Extracellular Aβ Clearance (2009) · cites this paper as DeMattos et al., 2004
Mice lacking apoE have faster Aβ clearance relative to apoE-expressing mice.
“This possibility is supported by the fact that mice lacking apoE have faster Aβ clearance, relative to apoE-expressing mice (DeMattos et al., 2004).”
From Anti-apoE immunotherapy inhibits amyloid accumulation in a transgenic mouse model of Aβ amyloidosis (2012) · cites this paper as DeMattos et al., 2004
Expression of apoE3 results in a dose-dependent decrease in amyloid burden.
“Conversely, expression of apoE3 results in a dose-dependent decrease in amyloid burden [95].”
From Plasma levels of apolipoprotein E, APOE genotype and risk of dementia and ischemic heart disease: A review (2016) · cites this paper as [95]
APOE regulates extracellular Aβ metabolism independently of Aβ synthesis, and APOE isoforms differentially influence the clearance of soluble Aβ from the brain.
“Indeed, APOE has been shown to regulate extracellular Aβ metabolism independently of Aβ synthesis, and APOE isoforms differentially influence the clearance of soluble Aβ from the brain (Castellano et al., 2011; DeMattos et al., 2004).”
From Isogenic human stem cell models reveal mutation-dependent protective mechanisms of APOE3 Christchurch (2026) · cites this paper as DeMattos et al., 2004
Endogenous CNS-derived apoE-containing lipoprotein particles bind to Aβ and promote its clearance and degradation.
“endogenous CNS-derived apoE-containing lipoprotein particles bind to A and promote its clearance and degradation (DeMattos et al., 2004;Koistinaho et al., 2004;Manelli et al., 2004;Stratman et al., 2005;Trommer et al., 2005)”
From Impact of Apolipoprotein E (ApoE) Polymorphism on Brain ApoE Levels (2008) · cites this paper as DeMattos et al., 2004
The result that lack of apoE may increase soluble Aβ levels in young PDAPP mice was also demonstrated in a study using in vivo microdialysis to analyze the level of Aβ in brain interstitial fluid.
“This result was also demonstrated in a study where in vivo microdialysis was used to analyze the level of Aβ in brain interstitial fluid (ISF) (DeMattos et al., 2004).”
From The role of apolipoprotein E in Alzheimer's disease (2009) · cites this paper as DeMattos et al., 2004
CLU participates in Aβ clearance, principally of Aβ42, from the brain across the blood brain barrier.
“CLU, which is one of the most abundantly expressed apolipoproteins in the central nervous system (like ApoE) [106], participates in Aβ clearance, principally of the highly pathogenic Aβ42 peptide, from the brain across the BBB [24].”
From The new genetic landscape of Alzheimer’s disease: from amyloid cascade to genetically driven synaptic failure hypothesis? (2019) · cites this paper as [24]
Clusterin levels are significantly lower in APOE knockout mice.
“Additionally, Western blotting revealed that CLU levels were significantly lower in APOE−/− mice (p=1×10−4) (DeMattos, et al., 2004) suggesting that there could be an interaction between CLU and APOE”
From A potential endophenotype for Alzheimer's disease: cerebrospinal fluid clusterin (2016) · cites this paper as DeMattos, et al., 2004
The effects of APOE and CLU on amyloid-beta levels are additive and not completely independent.
“APOE−/− and CLU−/− mice have similar Aβ levels, but in an APOE/CLU double knock-out mouse model Aβ was significantly increased in CSF and brain interstitial fluid, suggesting that the APOE and CLU effects on Aβ levels are additive and not completely independent (DeMattos, et al., 2004)”
From A potential endophenotype for Alzheimer's disease: cerebrospinal fluid clusterin (2016) · cites this paper as DeMattos, et al., 2004
Mice lacking both CLU and APOE have increased amyloid deposition and higher soluble and insoluble amyloid-beta 40 and 42 in CSF than mice lacking only one of these genes.
“A previous study demonstrated that CLU−/−/APOE−/− mice had increased amyloid deposition and significantly higher levels of soluble and insoluble Aβ40 and Aβ42 in the CSF (p<0.001) than CLU−/− or APOE−/− alone (DeMattos, et al., 2004)”
From A potential endophenotype for Alzheimer's disease: cerebrospinal fluid clusterin (2016) · cites this paper as DeMattos, et al., 2004
Both genetic and non-genetic risk factors for late-onset sporadic AD increase Aβ generation and/or reduce Aβ clearance for its accumulation.
“Both genetic (e.g., ApoE4, TREM2) and non-genetic (e.g. diabetes, obesity, stroke, or physical inactivity) risk factors for late-onset sporadic Alzheimer’s disease (SAD) have also been identified to increase Aβ generation and/or reduce Aβ clearance for its accumulation.4,41–45”
From Amyloid β-based therapy for Alzheimer’s disease: Challenges, successes and future (2023) · cites this paper as [41]
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“This idea is supported by the fact that mice lacking apoE have accelerated A clearance from the brain relative to apoE-expressing mice (DeMattos et al., 2004).”
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“A previous study demonstrated that CLU / /APOE / mice had increased amyloid deposition and significantly higher levels of soluble and insoluble Ab40 and Ab42 in the CSF (p 0.001) than CLU / or APOE / alone (DeMattos et al., 2004).”
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- Authors
- DeMattos, R. B., Cirrito, J. R., Parsadanian, M., May, P. C., O'Dell, M. A., Taylor, J. W., Harmony, J. A. K., Aronow, B. J., Bales, K. R., Paul, S. M., & Holtzman, D. M.
- Affiliations
- Eli Lilly (United States) (US)
- Washington University in St. Louis (US)
- University of Cincinnati (US)
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- DeMattos, Ronald B
- Holtzman, David M
- ORCID
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2004-01
- Volume
- 41
- Issue
- 2
- Pages
- 193-202
- ISSN
- 0896-6273 (ISSN-L)
- OpenAlex
- W1966874118
- Cited by
- 459
- References
- 59
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 21 · 2023: 22 · 2022: 14 · 2021: 15 · 2020: 28 · 2019: 23 · 2018: 17 · 2017: 17 · 2016: 21 · 2015: 23 · 2014: 30 · 2013: 23 · 2012: 32
- FWCI
- 14.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG11355, AG 05681, P50AG005681, AG13956, P01AG011355)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Oncology › Clusterin in disease pathology
- Keywords
- apolipoprotein E, clusterin, amyloid-beta, amyloid-beta deposition, amyloid-beta metabolism, fibrillar amyloid-beta, cerebrospinal fluid amyloid-beta, Alzheimer's disease, knockout mice
- MeSH terms
- Animals, Apolipoproteins E, Brain Chemistry, Extracellular Space, Genotype, Glycoproteins, Half-Life, Histocytochemistry, Blotting, Western, Amyloid beta-Peptides, Amyloid beta-Protein Precursor, Microdialysis, Mice, Knockout, Molecular Chaperones, Clusterin, Mice
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